Therapies for this condition
Four options, often combined in one visit.
Most hip / back / SI patients benefit from more than one mechanism, a joint injection plus ligament support, or a joint injection plus nerve decompression. We sequence them in the same visit when appropriate.
01 · Platelet-rich plasma
Platelet-rich plasma (PRP)
Blood-derived · in-office · 60–90 min
Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. The most-studied autologous biologic across orthopedic indications.
- Best fit when
- Hip OA (mild-to-moderate) with mechanical pain
- Facet joint pain on imaging or diagnostic block
- Anchor therapy when combining with prolo or hydrodissection
Read the full Platelet-rich plasma page →
02 · Ligament & joint stabilization
Prolotherapy
Dextrose-based · stimulates ligament repair
A series of small injections of a dextrose solution into ligaments and entheses, intended to stimulate a local repair response and improve passive joint stability. Useful where laxity, not cartilage, is the dominant issue.
- Best fit when
- SI joint instability or pelvic ligament laxity
- Chronic low-back pain from posterior ligament strain
- Recurrent symptoms after PT and manual therapy
Read the full Prolotherapy page →
03 · Peripheral nerve · entrapment relief
LD-PRP Hydrodissection
Ultrasound-guided · low-density PRP or D5W
Fluid is introduced under ultrasound guidance to separate a peripheral nerve from surrounding adhesions, decompressing entrapment and supporting the nerve's local environment. Often combined with PRP.
- Best fit when
- Sciatic, femoral, or pudendal nerve entrapment
- Radicular symptoms with imaging-confirmed compression
- Burning / electric pain in a clear dermatome
Read the full LD-PRP Hydrodissection page →
04 · Cellular therapy · adipose
Microfragmented adipose (mFAT)
Adipose-derived · same-day · image-guided
For the arthritic hip joint specifically, your own fat, microfragmented the same day and delivered into the joint under image guidance. A dense autologous cell source that also adds a cushioning scaffold.
- Best fit when
- Hip-joint osteoarthritis (not primarily back/SI)
- Wanting an autologous cell option for the joint
- Looking to delay or avoid hip replacement
Read the full Microfragmented adipose page →